Cordero Justin J, Mehdizadeh Morvarid, Garbaccio Noelle, Foster Lacey, Schonebaum Dorien I, Smith Jade E, Shariati Kaavian, Lin Samuel J
Department of Plastic and Reconstructive Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
UC Riverside School of Medicine, Riverside, CA, USA.
Plast Surg (Oakv). 2025 Jun 30:22925503251350905. doi: 10.1177/22925503251350905.
Industry financial relationships for physicians in the United States are reported publicly in the Sunshine Act Open Payments Database. This study aims to highlight trends and compare plastic surgery with subspecialty data, such as hand and craniofacial surgery. The Open Payments Database was utilized to retrieve all industry relationship payments made to plastic surgeons in the United States from January 1, 2017 to December 31, 2023. The individual payment dollar values per plastic surgeon were evaluated along with their subspecialty, payment year, type of financial relationship, partnering company, and region. On average, there were 35,333 individual payments made to 4050 plastic surgeons, 1336 payments made to 208 hand surgeons, and 1091 payments made to 214 craniofacial surgeons each year. The top five percent of plastic surgeons received 85.0% of the total payment value, while the top five percent of hand and craniofacial surgeons received 99.8% and 87.8%, respectively. Royalties and licensing were the largest type of payment by dollar value for general plastic (43.0%) and craniofacial surgeons (98.4%), but ownership or investment interest was the most valued type of payment for hand surgeons (48.0%). Within the Open Payments Database, there were a variety of industry payments made to plastic, hand, and craniofacial surgeons over the last 7 years. Current trends suggest that the majority of payment dollar value will continue to go to a specific minority of those in plastic surgery and its subspecialties in the form of royalties, licensing, or ownership and investment interests.
美国医生与行业的财务关系在《阳光法案》公开支付数据库中公开披露。本研究旨在突出趋势，并将整形外科与手部和颅面外科等亚专业数据进行比较。利用公开支付数据库检索了2017年1月1日至2023年12月31日期间支付给美国整形外科医生的所有行业关系款项。评估了每位整形外科医生的个人支付金额，以及他们的亚专业、支付年份、财务关系类型、合作公司和地区。平均而言，每年向4050名整形外科医生支付35333笔个人款项，向208名手外科医生支付1336笔款项，向214名颅面外科医生支付1091笔款项。收入最高的5%的整形外科医生获得了总支付金额的85.0%，而收入最高的5%的手外科和颅面外科医生分别获得了99.8%和87.8%。版税和许可费是普通整形外科医生（43.0%）和颅面外科医生（98.4%）按美元价值计算的最大支付类型，但所有权或投资权益是手外科医生最看重的支付类型（48.0%）。在公开支付数据库中，过去7年里向整形外科、手外科和颅面外科医生支付了各种各样的行业款项。当前趋势表明，大部分支付金额将继续以版税、许可费或所有权和投资权益的形式流向整形外科及其亚专业领域中特定的少数人。
